Organization Active NPI

Hugo Senior Housing, LLC

Doing business as Keystone Place at LaValle Fields

  • Assisted Living Facility
  • Indianapolis, IN
National Provider Identifier
1114308616
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HUGO SENIOR HOUSING, LLC
Doing business as
Keystone Place at LaValle Fields
Practice address
3965 Airport Dr
Indianapolis, IN 46254-5845
Phone
(317) 280-8455
Fax
(317) 875-4051
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brad Wood
Title
Chief Operating Officer
Phone
(317) 280-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MN Primary

Addresses

Primary practice location

3965 Airport Dr
Indianapolis, IN 46254-5845

Mailing address

3965 Airport Dr
Indianapolis, IN 46254-5845
Phone (317) 280-8455

Other names 1

  • Keystone Place at LaValle Fields Doing business as

National Provider Directory

National Provider Directory

Locations

14602 Finale Ave N
Hugo, MN 55038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1114308616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 AIRPORT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545845",
            "telephone_number": "317-280-8455",
            "fax_number": "317-875-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 AIRPORT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545845",
            "telephone_number": "317-280-8455",
            "fax_number": "317-875-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGO SENIOR HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "317-280-8455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Place at LaValle Fields",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.